Provider Demographics
NPI:1659996023
Name:AMIRA TRANSPORT INC.
Entity Type:Organization
Organization Name:AMIRA TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIRA
Authorized Official - Middle Name:SOLEDAD
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-538-5187
Mailing Address - Street 1:7400 BEAUFONT SPRINGS DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225
Mailing Address - Country:US
Mailing Address - Phone:804-213-2606
Mailing Address - Fax:
Practice Address - Street 1:7400 BEAUFONT SPRINGS DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225
Practice Address - Country:US
Practice Address - Phone:804-213-2606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)